Acute on chronic systolic (congestive) heart failure
ICD-10 I50.23 is a billable code used to indicate a diagnosis of acute on chronic systolic (congestive) heart failure.
Acute on chronic systolic (congestive) heart failure is a condition characterized by the sudden exacerbation of heart failure symptoms in patients who have a history of chronic systolic heart failure. Clinically, patients may present with worsening dyspnea, fatigue, and edema due to fluid overload. The anatomy involved primarily includes the left ventricle, which is responsible for pumping oxygenated blood to the body. In chronic heart failure, the heart's ability to pump effectively is compromised, often due to conditions such as ischemic heart disease, hypertension, or cardiomyopathy. The acute exacerbation can be triggered by factors such as infections, noncompliance with medications, or dietary indiscretions. Diagnostic considerations include a thorough clinical assessment, echocardiography to evaluate left ventricular function, and laboratory tests to assess renal function and electrolyte balance. Management typically involves diuretics, ACE inhibitors, and beta-blockers, tailored to the patient's specific needs and underlying causes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I50.23 covers patients with a documented history of chronic systolic heart failure who experience an acute exacerbation. This includes those with underlying ischemic heart disease, hypertension, or other cardiomyopathies that lead to a decline in cardiac function.
I50.23 should be used when there is clear documentation of chronic systolic heart failure with an acute exacerbation. It is distinct from I50.21, which is used for acute heart failure without a chronic component.
Documentation should include a history of chronic systolic heart failure, recent clinical findings indicating an acute exacerbation, and any relevant diagnostic tests that confirm the patient's current status.
